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HEALTH

Coronavirus: What to expect if France declares an official epidemic

French officials have said for some days that they expect a full epidemic of coronavirus. We take a look at what that means and why it's less scary than it sounds.

Coronavirus: What to expect if France declares an official epidemic
Photo: AFP

France is currently at 'stage 2' or the pre-epidemic level, but both president Emmanuel Macron and the health minister Olivier Véran have said that they are expecting coronavirus to reach epidemic level.

They say officials are working towards this and are well prepared ever since the explosion in the number of cases in neighbouring Italy.

READ ALSO Should I cancel my trip to France because of coronavirus?

What is an epidemic?

For a disease to have reached epidemic level it needs to have a certain spread.

The designation refers to how many have been infected with it – not how serious the illness is.

So something could be an epidemic if a large percentage of the population caught it, even if no-one got seriously sick, was hospitalised or died from the condition.

READ ALSO Coronavirus – the everyday precautions you can take to stay safe in France

How common are epidemics in France?

It's not particularly unusual for the country to declare an epidemic, this year we have been officially at epidemic level for seasonal flu since the beginning of February.

There are also regularly epidemics declared in winter for 'gastro' stomach flu.

Is it the same as a pandemic?

Pandemics are epidemics of new illnesses that have affected multiple countries. So far the World Health Organisation has not declared coronavirus a pandemic.

Like epidemic, pandemic only refers to how far the illness has spread and not how serious it is.

So what happens when France declares an epidemic?

 

Well the fact that France has been at epidemic level for flu since the start of February and most people haven't even noticed shows that it doesn't always have a huge impact on daily life.

Coronavirus is likely to be a little different though.

As it is new and there is no vaccine yet, authorities are keen to contain it and stop its spread as far as possible, which means taking more drastic measures than for a seasonal epidemic such as flu or gastro.

France has been at stage 2 – pre epidemic – since February 28th and public health officials began then taking steps for containment.

These included the banning of all events involving more than 5,000 people in a confined space.

In areas with a high number of cases all public gatherings – including markets and Sunday Mass – were banned and schools were closed.

On February 1st the government passed a decree that anyone who was self isolating (or whose children could not go to school because of coronavirus) was entitled to sick pay, in the hope that people would follow the health advice without worrying about losing out on wages.

Most health facilities have already enacted their 'white plan' of extra readiness and the French government announced on Tuesday that it was requisitioning surgical face masks in order to prevent panic buying and make sure they get to the people who need them.

Stage 3

Once stage 3 begins there are extra measures that can be deployed if the government considers them necessary.

They include

  • Extra resources for health professionals and those working in law and order.
  • Possible restriction of public transport. As the moment the government says there is “no question” of stopping the trains but there is provision to do so in extreme cases. The government is currently advising against all non essential travel, particularly outside the EU
  • Financial support for households affected by the epidemic could be available, for example for self-employed people who cannot go to work, and schools will start introducing distance learning methods if they are forced to close
  • Provision to close schools, nurseries and community groups if necessary or impose movement restrictions and curfews

Then what?

After stage 3 comes stage 4 – the return to normal.

Exactly how long that will take is difficult to calculate, give that this is a new illness, however the flu epidemic plan allows between eight and 12 weeks at stage 3 before things begin to return to normal.

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HEALTH

The different ways you can make a doctor’s appointment in France

Booking a medical appointment in France can be time-consuming – especially if you are new to the country and are looking for an English-speaking doctor.

The different ways you can make a doctor's appointment in France

You do not need a carte vitale to book a doctor’s appointment in France – anyone who needs medical help while in the country is entitled to it, but you may not be entitled to any reimbursement if you are not part of the social security system.

Booking a GP’s appointment can be as simple as phoning up your friendly neighbourhood GP, or using an online service such as Doctolib. 

It helps a lot, if you have a médecin traitant – an attending GP, who adds you (and your family, if they can) to their list of patients. 

READ ALSO Explained: How to register with a doctor in France

It is not always easy to find one. Some parts of the country are short of GPs, which means doctors’ lists can fill up very quickly. But it is important that anyone who lives in France is registered with a named GP, especially if they have a carte vitale.

As well as being the main point of contact between patients and the medical profession in all its guises, it is financially responsible to be registered with a GP in France.

Reimbursement on consultations is typically 70 percent through the French healthcare system, but just 30 percent for anyone without a declared doctor. Meanwhile, top-up mutuelle health insurance companies usually require you to declare a médecin traitant and if you don’t, you may not be able to receive reimbursements on certain treatments.

Bear in mind, it is your responsibility to register with a local médecin traitant. But, even after you have done so, you can still make an appointment with any doctor, anywhere in France, and arrange specialist treatment, if you need it. 

READ ALSO 5 things to know about visiting a doctor in France

How do you go about making a GP appointment in France?

There are several options.

Some health centres – more often in larger towns and cities – operate a walk-in policy. But expect waits to be lengthy. Do not, however, assume that your GP operates a system like this.

You can phone for an appointment. This is another very common method. Your GP will have their own system for making appointments – which may even include something that looks, to the uninitiated, very much like a casual walk-in policy. 

Some may have an assistant to deal with booking appointments and other administration. Others may deal with appointments themselves, and may – for example – operate some sort of triage system based on voice messages from patients. 

What about online booking systems?

And many practitioners are now attached to websites, such as Doctolib. As of 2023, about half of all GP appointments in France were made using Doctolib.

READ ALSO How to use: French medical website Doctolib

Be aware that other online booking systems are available. Doctolib is one of the best known, but your GP may be attached to another system, like the health ministry approved site ‘LeMedecin.Fr’.

This website also has a feature where you can take an immediate online consultation with whatever doctor is available at that moment. By clicking ‘Consultez en vidéo maintenant’ you will be connected to the next doctor who is free. This option may involve an additional charge between €5-10 on top of the price of the consultation, and you will be expected to pay when booking.

If you have any trouble with either of these websites, you can go through the list of registered generalists per département on the ‘Ameli’ website. If you use this option, you will need to call the doctor to see if they are open or available for appointments.

In terms of wait times, online systems have helped to significantly reduce the delay between booking and getting an appointment.

According to a 2023 study by Doctolib, about half of all GP appointments were available within three days from the time of booking on their platform.

Similarly, you can use online platforms to check the medical professional’s qualifications and languages spoken, as well as filter based on the doctor’s English abilities. However, this should be taken with a grain of salt because not every medical professional with English listed on their Doctolib page speaks fluent English. 

An increasing number of doctorsoffer video consultations, known as télémédecine in France. This allows professionals – particularly those in more rural areas – to diagnose less serious conditions remotely. This type of consultation is usually only available from those medical practices that are attached to online booking systems. 

Some pharmacies have also begun offering walk-in télémedicine consults, using ‘Medadom’ machines. More information here.

What about specialists?

In France, you book your own consultations with specialists, even if you are referred by a doctor (your GP may offer a recommendation, but won’t always). The good news is that many specialists do use online booking services. Those that do not usually have assistants to take care of the appointments.

READ ALSO: Urgent care: How to get non-emergency medical treatment in France

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